What are the symptoms of nongonococcal urethritis?

Nongonococcal urethritis is also a type of urethritis. Urethritis contains inflammatory infection. If you encounter a serious infection, the most important thing is to reduce inflammation. However, some people do not know what the symptoms are when they feel them, so they miss the best treatment time for the disease. We must first understand the symptoms of nongonococcal urethritis clearly, and then the symptomatic treatment of drugs will be more timely. So what are the symptoms of nongonococcal urethritis?

Main clinical manifestations in men

(1) Symptoms: 30%-40% of patients have no symptoms. Many patients also have atypical symptoms. About half of the patients are easily misdiagnosed at the first visit. Typical symptoms are urethral spasm and itching accompanied by varying degrees of frequent urination, urgent urination, painful urination and difficulty urinating. A small amount of fluid secretion may escape from the urethral orifice after not urinating for a long time or before the first urination in the morning. Severe cases may have purulent secretions. In 10% of cases, symptoms persist or recur. Such patients are often related to incomplete or inappropriate treatment, abnormal urethral structure, excessive drinking, frequent sexual behavior and psychological disorders. In cases of recurrent attacks, each attack is generally milder than the previous one, but the patient's mood becomes heavier each time. Some even feel restless and fear that they have an incurable disease. In some cases with frequent attacks, urethral discomfort persists even between attacks. In other cases, the symptoms are not obvious, but there are more pus cells in the urethral secretion smear.

(2) Physical signs Common signs include redness and swelling of the urethral orifice and recurrent urethral discharge. In cases of persistent chlamydia infection, there is a circle of swelling around the urethral orifice, which is often lip-like, red and swollen with a shiny sheen and is not easy to subside. In cases of persistent candida infection, the urethral orifice may be funnel-shaped and dilated, dark red with a few scales, often accompanied by balanoposthitis. In cases of mycoplasma and trichomoniasis infection, the urethral orifice is not obviously red and swollen, and the urethral discharge is often serous or purulent. In patients with mycoplasma, Candida albicans, and herpes simplex virus infection, the discharge is mostly serous. In patients with chlamydia or other bacterial infection, the discharge is mostly purulent. In patients with herpes simplex virus infection, inguinal lymph node enlargement and tenderness may occur.

Clinical manifestations of female patients

(1) Symptoms are mostly asymptomatic. When there is urethritis, about 50% of patients experience urinary urgency, frequency, and difficulty urinating, but no urinary pain or only mild urinary pain. The cervix is ​​the main site of infection in women. The main symptoms are purulent endocervical inflammation, which may include increased leucorrhea, vulvar and vaginal spasm, itching, and lower abdominal discomfort.

(2) Physical examination: The urethral opening may be flushed and swollen. The urethra may be compressed and a small amount of light yellow secretion may be produced. A white cotton swab is inserted into the cervical opening and rotated slightly. After removal, the swab turns light yellow. Cervical congestion and edema also often occur. Rotating the swab at the junction of squamous and columnar epithelium may cause bleeding. Chlamydia and mycoplasma do not parasitize on stratified squamous epithelium, so they generally do not cause vaginitis.

If you suffer from non-gonococcal urethritis, you must receive timely treatment, because this disease is very harmful to both men and women. If men do not receive treatment for a long time, it is possible to develop prostatitis and epididymitis, which are difficult to control. For women, if they do not receive proper treatment, it is possible to develop pelvic inflammatory disease and may also develop Bartholin's glanditis, so the disease must be controlled in a timely manner.